Elected Official Relationship Form

To be as effective as possible with our grassroots advocacy, we need to establish or deepen relationships with Oregon's elected officials. To that end, we are asking bankers to share information about any relationship they have with state legislators, members of Congress or other government officials. Please use the form below to submit your information.

About You

* Indicates required field

Name *

First

Last

Email *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Bank Name (if applicable) *

City Bank is Located *

About Your Relationship

Please indicate which elected officials you have a relationship with and describe your level of familiarity on a scale of 1 to 3. Use the notes section to describe the relationship further.

RANK 1: You are very familiar with the official, you know him or her personally and speak on a regular basis. Example: "I went to college with Rep. Smith," "Rep. Jones is my next-door-neighbor."

RANK 2: If you have an established working relationship. Example: "I held a fundraiser for Rep. Green," "Rep. Brown's chief of staff is a friend."

RANK 3: If you have had little or no contact previously. Example: "I have never met, but have written to my member of Congress," "No contact yet but willing to establish a relationship."

Elected Official Name *

Relationship Rank *

Notes *

Elected Official Name *

Relationship Rank *

Notes *

Elected Official Name *

Relationship Rank *

Notes *

Submit